DR HOLLIS L STAVN O.D. AN OPTOMETRY CORPORATION
Optometry at Mendocino Ave, Santa Rosa, CA

License number
California 6812 TLG
Category
Optometry
Type
Optometrist
Owner
Name: DR. HOLLIS LOREN STAVN O.D.
Title: OWNER
Phone: (707) 527-9137
Address
Address
2305 Mendocino Ave STE B, Santa Rosa, CA 95403
National Provider ID: 1255618500
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. HOLLIS L. STAVN, O.D., AN OPTOMETRY CORPORATION

Santa Rosa, CA

Industry:
Nonclassifiable Establishments
Registration:
Sep 30, 1993
Addresses:
2305 Mendocino Ave STE B, Santa Rosa, CA 95403 (Physical)
2200 Range Ave, Santa Rosa, CA 95403
State ID:
C1867111
Business type:
Articles of Incorporation
President:
Hollis L. Stavn (President)
Agent:
Hollis Stavn,Santa Rosa, CA 95403 (Physical)

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